Department of Nursing

Patient satisfaction with nursing care at medical and surgical wards of Mbale regional referral hospital

2022-01-01T00:00:00Z

Patient satisfaction with nursing care at medical and surgical wards of Mbale regional referral hospital Namunyala, Emmanuel The majority of studies from developing countries show that patient satisfaction with nursing care is below average. That means that more than half of the patients are dissatisfied, despite the fact that satisfaction is directly related to better health outcomes. In Uganda, overall patient satisfaction with health care delivery is still extremely low (25% in 2018). Patient satisfaction with nursing care remains unresolved in Uganda. If interventions are to be developed to improve overall patient satisfaction, assessments in different health-care capacities may be necessary to identify gaps. As a result, patient satisfaction with nursing care outcomes from this study could be extremely beneficial in this endeavor. Objectives: 1) To assess the level of patients’ satisfaction with nursing care provided in the medical and surgical wards of Mbale RRH. 2) To determine factors that may affect patients’ satisfaction with nursing care. Methods The study was done from November to December of 202 at Mbale Regional Referral Hospital using a cross-sectional study design. Simple random sampling technique was employed to recruit 213 sampled study participants. A data collection tool with patients’ descriptive characteristics and the Newcastle Satisfaction with Nursing Scale (NSNS)was utilized. Stata version 15 was used to analyze the data, which was presented in tables and graphs. To identify factors associated with patient satisfaction with nursing care, bivariable and multivariable logistic regressions were computed. The significance and strength of the association was declared using P-values < 0.05 with (CI) of 95% Result A total of 213 patients participated. Participants average age was 40.7 (SD, 14.7, min=18 and max=77) years. The mean score the patients obtained from the Satisfaction with Nursing Care Scale (NSNS) was 67.413±16.1 (min=30.263 and max=94.737) on 0-100scale.After dichotomizing satisfaction into ‘satisfied’ and ‘not satisfied’ using the mean satisfaction score as the cut off, 50.23% (n=107) of the study participants were satisfied with the care provided by nurses. Patients were more satisfied with the amount of time nurses spent with them (2.88±0.88)and there always being a nurse around if they needed one (2.83±0.84). Patients were least satisfied with the amount of privacy nurses gave them (2.48±1.07) and how nurses listened to their worries and concerns (2.57±1.06). Regarding the factors affecting the satisfaction, patients aged below 45 and those with higher levels of education where least satisfied whereas patients who were admitted to a surgical ward, who had a chronic condition, and those who had spent more than 10 days on the ward were more satisfied than their counterparts. Conclusion In this study, the level of patient satisfaction with nursing care was average. It shows that the care needs of hospitalized patients are yet not satisfied to some extent. These findings may motivate hospital administrators, authorities, and nurses to pay more attention to patients' distinct characteristics, concerns, and anxieties, as well as maintaining patient privacy when providing care. Improving personnel to minimize workload, improving ward architecture and providing privacy screens, and scheduling refresher trainings will all help to improve the quality of care offered and hence increase patient satisfaction. Dissertation

Perceptions of mothers and nurses towards care by male nurses during pregnancy, intrapartum and postpartum in Mbale regional referral hospital

2022-01-01T00:00:00Z

Perceptions of mothers and nurses towards care by male nurses during pregnancy, intrapartum and postpartum in Mbale regional referral hospital Nabirye, Gloria Introduction: Nursing is still perceived as a female-dominated career worldwide. Men who enter this female-dominated world encounter many challenges due to gender bias and stereotypes. Most of them resort to fields of nursing that require less intimate care like psychiatry, emergency and intensive care. Very few of the nurses are found to be practising obstetric care. Aim: This study aimed to assess the perceptions of mothers and nurses towards care by male nurses during pregnancy, intrapartum and postpartum periods in Mbale Regional Referral Hospital, Uganda Methods: A cross-sectional design with both qualitative and quantitative methods were used, and it involved face to face interviewer-administered questionnaire to assess mothers and indepth interviews using an in-depth interview guide interview guide to assess the perceptions of nurses towards care by male nurses during pregnancy, intrapartum and postpartum at the antenatal clinic and maternity ward of Mbale Regional Referral Hospital. The Quantitative data were analysed using IBM SPSS Statistics Version 20 and Qualitative data were transcribed and subjected to thematic, content and descriptive analysis. Results: Male nurses were found to be 10% and 14.3% of the nurses on labour suite and postnatal wards respectively. Most of the mothers were comfortable with the male nurses attempting the intimate nursing procedures; 65.48% on abdominal examination, 50.35% on vaginal examination and 47.28% on breast examination. Maternal factors that influenced the perceptions of mothers towards care by male nurses were mainly age, religion, education levels and place of residence. Nurses and midwives showed good perception towards male nurses attending to women and gave no complaints witnessed in their experience. Conclusion: The results of the study identified varying perceptions because a great number of the mothers preferred male nurses over their female counterparts as they were perceived to be more caring, compassionate and respectful. However, religious and cultural beliefs influence perceptions of mothers as some felt embarrassed and shy to be examined by a male nurse. This study, therefore, aims to raise awareness and promote the acceptability of male nurses in labour and maternity units. Dissertation

Nurses’ perceptions of the nursing process at Soroti regional referral hospital.

2022-01-01T00:00:00Z

Nurses’ perceptions of the nursing process at Soroti regional referral hospital. Eletu, Emmanuel Introduction: Nursing process is a systematic, patient centered method of solving patient concerns. Effective Nursing process use by nurses in patientcare is associated with better patient outcomes like reduction in length of hospital stay, reduced morbidity and mortality rates. Despite the significance of the nursing process in healthcare, the state of its use in Uganda is not well known. Objective: To explore the nurses’ perceptions of the nursing process at Soroti regional referral hospital. Methods: A qualitative study design was carried out at Soroti regional referral hospital for a period of one month. Nine participants were recruited in this study using purposive sampling. In-depth interviews were conducted aided by interview guide and tape-recording. Data was analyzed by thematic analysis method. Results: The nurses at Soroti regional referral hospital were perceived to be knowledgeable of the nursing process and having positive attitude towards nursing process use in patient care. However, In-adequate human and material resources as well as lack of supervision and motivation by the hospital administration were the perceived barriers to nursing process use at the hospital. The nurses at Soroti regional referral hospital were knowledgeable of the nursing process and had positive attitude towards nursing process use in patientcare. However, In-adequate human and material resources as well as lack of supervision and motivation by the hospital administration were the perceived barriers to nursing process use at the hospital. Conclusion: The nurses at Soroti regional referral hospital were perceived to be knowledgeable of the nursing process and willing to apply the nursing process in patient care. In-adequate human and material resources, lack of motivation and supervision were perceived barriers to utilization of the nursing process in Soroti regional referral hospital. Dissertation.

Patient satisfaction with nursing care at medical and surgical wards of Mbale regional referral hospital.

2022-01-01T00:00:00Z

Patient satisfaction with nursing care at medical and surgical wards of Mbale regional referral hospital. Namunyala, Emmanuel Introduction The majority of studies from developing countries show that patient satisfaction with nursing care is below average. That means that more than half of the patients are dissatisfied, despite the fact that satisfaction is directly related to better health outcomes. In Uganda, overall patient satisfaction with health care delivery is still extremely low (25% in 2018). Patient satisfaction with nursing care remains unresolved in Uganda. If interventions are to be developed to improve overall patient satisfaction, assessments in different health-care capacities may be necessary to identify gaps. As a result, patient satisfaction with nursing care outcomes from this study could be extremely beneficial in this endeavor. Objectives: 1) To assess the level of patients’ satisfaction with nursing care provided in the medical and surgical wards of Mbale RRH. 2) To determine factors that may affect patients’ satisfaction with nursing care. Methods The study was done from November to December of 2021 at Mbale Regional Referral Hospital using a cross-sectional study design. Simple random sampling technique was employed to recruit 213 sampled study participants. A data collection tool with patients’ descriptive characteristics and the Newcastle Satisfaction with Nursing Scale (NSNS)was utilized. Stata version 15 was used to analyze the data, which was presented in tables and graphs. To identify factors associated with patient satisfaction with nursing care, bivariable and multivariable logistic regressions were computed. The significance and strength of the association was declared using P-values < 0.05 with (CI) of 95% Result A total of 213 patients participated. Participants average age was 40.7 (SD, 14.7, min=18 and max=77) years. The mean score the patients obtained from the Satisfaction with Nursing Care Scale (NSNS) was 67.413±16.1 (min=30.263 and max=94.737) on 0-100scale.After dichotomizing satisfaction into ‘satisfied’ and ‘not satisfied’ using the mean satisfaction score as the cut off, 50.23% (n=107) of the study participants were satisfied with the care provided by nurses. Patients were more satisfied with the amount of time nurses spent with them (2.88±0.88)and there always being a nurse around if they needed one (2.83±0.84). Patients were least satisfied with the amount of privacy nurses gave them (2.48±1.07) and how nurses listened to their worries and concerns (2.57±1.06). Regarding the factors affecting the satisfaction, patients aged below 45 and those with higher levels of education where least satisfied whereas patients who were admitted to a surgical ward, who had a chronic condition, and those who had spent more than 10 days on the ward were more satisfied than their counterparts. Conclusion In this study, the level of patient satisfaction with nursing care was average. It shows that the care needs of hospitalized patients are yet not satisfied to some extent. These findings may motivate hospital administrators, authorities, and nurses to pay more attention to patients' distinct characteristics, concerns, and anxieties, as well as maintaining patient privacy when providing care. Improving personnel to minimize workload, improving ward architecture and providing privacy screens, and scheduling refresher trainings will all help to improve the quality of care offered and hence increase patient satisfaction. Dissertation